Vascularized Origami Medial Femoral Condyle Flap for Finger Joint Reconstruction.
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
01 12 2023
01 12 2023
Historique:
medline:
30
11
2023
pubmed:
11
4
2023
entrez:
10
4
2023
Statut:
ppublish
Résumé
Total finger joint reconstruction is challenging. Vascularized toe joint transfer is currently used for reconstruction, but it is difficult to perform, fails to achieve maximal joint flexibility, and is associated with donor-site complications. As an alternative, the authors developed a vascularized medial femoral condyle flap technique, wherein the vascularized corticoperiosteum is shaped via origami, with the donor tissue folded to fit the recipient site. In this article, the authors describe the use of this method for reconstruction of interphalangeal and metacarpophalangeal joints with a reduced range of motion. The mean age of the patients (three men and four women) was 51 years (range, 36 to 68 years), and the mean follow-up period was 3 years 1 month (range, 4 months to 5 years). In the reconstructed joints, the mean range of motion; Disabilities of the Arm, Shoulder, and Hand score; and pinch strength of the unaffected side were 55 degrees (range, 24 to 90 degrees), 2.3 (range, 0 to 6), and 98% (range, 70% to 38%), respectively. No donor-site morbidities were observed. Radiography and computed tomography scans revealed joint-like grafted tissue remodeling. The study findings suggest that the origami medial femoral condyle flap is useful for functional finger joint reconstruction. The procedure requires fabrication before grafting, but tissue harvest is relatively easy.
Identifiants
pubmed: 37036324
doi: 10.1097/PRS.0000000000010520
pii: 00006534-990000000-01743
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1297-1301Informations de copyright
Copyright © 2023 by the American Society of Plastic Surgeons.
Références
Vitale MA, Fruth KM, Rizzo M, Moran SL, Kakar S. Prosthetic arthroplasty versus arthrodesis for osteoarthritis and posttraumatic arthritis of the index finger proximal interphalangeal joint. J Hand Surg Am. 2015;40:1937–1948.
Forster N, Schindele S, Audigé L, Marks M. Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty: a systematic review and meta-analysis. J Hand Surg Eur. 2018;43:1066–1075.
Tsai TM, Wang WZ. Vascularized joint transfers. Indications and results. Hand Clin. 1992;8:525–536.
Kotkansalo T, Elo P, Luukkaala T, Vilkki SK. Long-term effects of toe transfers on the donor feet. J Hand Surg Eur Vol. 2014;39:966–976.
Sakai K, Doi K, Kawai S. Free vascularized thin corticoperiosteal graft. Plast Reconstr Surg. 1991;87:290–298.
Doi K, Sakai K. Vascularized periosteal bone graft from the supracondylar region of the femur. Microsurgery 1994;15:305–315.
Doi K, Hattori Y. Vascularized bone graft from the supracondylar region of the femur. Microsurgery 2009;29:379–384.
Sammer DM, Bishop AT, Shin AY. Vascularized medial femoral condyle graft for thumb metacarpal reconstruction: case report. J Hand Surg Am. 2009;34:715–718.
O’Brien B, Gould JS, Morrison WA, Russell RC, MacLeod AM, Pribaz JJ. Free vascularized small joint transfer to the hand. J Hand Surg Am. 1984;9:634–641.
Singer DI, O’Brien BM, McLeod AM, Morrison WA, Angel MF. Long-term follow-up of free vascularized joint transfers to the hand in children. J Hand Surg Am. 1988;13:776–783.
Chen SH, Wei FC, Chen HC, Hentz VR, Chuang DC, Yeh MC. Vascularized toe joint transfer to the hand. Plast Reconstr Surg. 1996;98:1275–1284.
Hierner R, Berger AK. Long-term results after vascularised joint transfer for finger joint reconstruction. J Plast Reconstr Aesthet Surg. 2008;61:1338–1346.
Squitieri L, Chung KC. A systematic review of outcomes and complications of vascularized toe joint transfer, silicone arthroplasty, and PyroCarbon arthroplasty for posttraumatic joint reconstruction of the finger. Plast Reconstr Surg. 2008;121:1697–1707.
Windhofer C, Wong VW, Larcher L, Paryavi E, Bürger HK, Higgins JP. Knee donor site morbidity following harvest of medial femoral trochlea osteochondral flaps for carpal reconstruction. J Hand Surg Am. 2016;41:610–614.e1.
Hachisuka H, Sunagawa T, Ochi M, Morrison WA. A vascularized medial femoral condyle cortico-periosteal graft for total lunate reconstruction. J Orthop Sci. 2020;25:354–358.